A CdZnTe slot-scanned detector for digital mammography

A new high-resolution detector has been developed for use in a slot-scanned digital mammography system. The detector is a hybrid device that consists of a CCD operating in time-delay integration mode that is bonded to a 150-microm-thick CdZnTe photoconductor array. The CCD was designed with a detector element pitch of 50 microm. Two devices were evaluated with differing crystalline quality. Incomplete charge collection was a source of reduction in DQE. This occurs in both devices due to characteristically low mobility-lifetime products for CdZnTe, with the greatest losses demonstrated by the multicrystalline sample. The mobility-lifetime products for the multicrystalline device were found to be 2.4 x 10(-4) and 4.0 x 10(-7) cm2/V for electrons and holes, respectively. The device constructed with higher quality single crystal CdZnTe demonstrated mobility-lifetime products of 1.0 x 10(-4) and 4.4 x 10(-6) cm2/V for electrons and holes. The MTF and DQE for the device were measured at several exposures and results were compared to predictions from a linear systems model of signal and noise propagation. The MTF at a spatial frequency of 10 mm(-1) exceeded 0.18 and 0.56 along the scan and slot directions, respectively. Scanning motion and CCD design limited the resolution along the scan direction. For an x-ray beam from a tungsten target tube with 40 microm molybdenum filtration operated at 26 kV, the single crystal device demonstrated a DQE(0) of 0.70 +/- 0.02 at 7.1 x 10(-6) C/kg (27 mR) exposure to the detector, despite its relatively poor charge collection efficiency.     

Physical characterization of a high-resolution CCD detector for mammography

The physical characteristics of charge-coupled device (CCD) mammography detector with 16-bit dynamic range and 27 microm detector element size were investigated. The detector, with an active area of 1 cm x 20 cm is suitable for slot-scanning systems. We evaluated the detector resolution by measuring the modulation transfer function (MTF) using a tilted edge. We also measured the noise power spectra (NPS) and detective quantum efficiency (DQE) using tungsten spectra filtered with 3 mm Al. We carried out measurements in two modes of operation: the frame mode where the detector is stationary and the scan mode where the detector operates in a slot-scanning configuration. The specific beam qualities and exposure ranges employed were 30 kVp, HVL 1.4 mm Al, 1.24 microC kg(-1) to 12.44 microC kg(-1), and 40 kVp, HVL 2.1 mm Al and 3.26 microC kg(-1) to 16.64 microC kg(-1). The product of the normalized noise power spectrum and exposure was also computed to evaluate the quantum limited characteristic of the detector. The detector MTF was 12% at 15 lp mm(-1). The product of the noise power spectra and exposure was independent of exposure level, indicating a quantum limited detector. The DQE in the scan and frame modes near zero frequency was 40% and 60%, respectively. Our results show that the slot-scanning configuration was less efficient than the performance capabilities of the detector. This detector is comparable to other digital mammography sensors evaluated in the literature.     

A time-delay integration charge-coupled device camera for slot-scanned digital radiography

We have developed a low-noise digital camera based on a 512 x 96 element CCD operating in the time-delay integration mode. This camera has been combined with an x-ray image intensifier to record radiographic images produced by a scanning slot beam of radiation. This results in the rejection of a large fraction of scattered radiation, without a significant increase in x-ray tube heat loading or image acquisition time. Here we describe the design of our CCD camera and the results of our investigations of camera resolution, linearity, noise, and quantum efficiency. We have found that both the resolution limit (50 mm-1) and the dynamic range (2100) of this novel camera are greater than reported values for conventional video cameras. Applications of this system in digital angiography and mammography are discussed.     

Analysis of the detective quantum efficiency of a developmental detector for digital mammography

We are developing a modular detector for applications in full field digital mammography and for diagnostic breast imaging. The detector is based on a design that has been refined over the past decade for applications in x-ray crystallography [Kalata et al., Proc. SPIE 1345, 270-279 (1990); Phillips et al. ibid. 2009, 133-138 (1993), Phillips et al., Nucl. Instrum. Methods Phys. Rev. A 334, 621-630 (1993)]. The full field mammographic detector, currently undergoing clinical evaluation, is formed from a 19 cm x 28 cm phosphor screen, read out by a 2 x 3 array of butted charge-coupled device (CCD) modules. Each 2k x 2k CCD is optically coupled to the phosphor via a fiber optic taper with dimensions of 9.4 cm x 9.4cm at the phosphor. This paper describes the imaging performance of a two-module prototype, built using a similar design. In this paper we use cascaded linear systems analysis to develop a model for calculating the spatial frequency dependent noise power spectrum (NPS) and detective quantum efficiency (DQE) of the detector using the measured modulation transfer function (MTF). We compare results of the calculation with the measured NPS and DQE of the prototype. Calculated and measured DQEs are compared over a range of clinically relevant x-ray exposures and kVps. We find that for x-ray photon energies between 10 and 28 keV, the detector gain ranges between 2.5 and 3.7 CCD electrons per incident x-ray, or approximately 5-8 electrons per absorbed x ray. Using a Mo/Mo beam and acrylic phantom, over a detector entrance exposure range of approximately 10 to 80 mR, the volume under the measured 2-d NPS of the prototype detector is proportional to the x-ray exposure, indicating quantum limited performance. Substantial agreement between the calculated and measured values was obtained for the frequency and exposure dependent NPS and DQE over a range of tube voltage from 25 to 30 kVp.     

Retrospective analysis of a detector fault for a full field digital mammography system

This paper describes objective and subjective image quality measurements acquired as part of a routine quality assurance (QA) programme for an amorphous selenium (a-Se) full field digital mammography (FFDM) system between August-04 and February-05. During this period, the FFDM detector developed a fault and was replaced. A retrospective analysis of objective image quality parameters (modulation transfer function (MTF), normalized noise power spectrum (NNPS) and detective quantum efficiency (DQE)) is presented to try and gain a deeper understanding of the detector problem that occurred. These measurements are discussed in conjunction with routine contrast-detail (c-d) results acquired with the CDMAM (Artinis, The Netherlands) test object. There was significant reduction in MTF over this period of time indicating an increase in blurring occurring within the a-Se converter layer. This blurring was not isotropic, being greater in the data line direction (left to right across the detector) than in the gate line direction (chest wall to nipple). The initial value of the 50% MTF point was 6 mm(-1); for the faulty detector the 50% MTF points occurred at 3.4 mm(-1) and 1.0 mm(-1) in the gate line and data line directions, respectively. Prior to NNPS estimation, variance images were formed of the detector flat field images. Spatial distribution of variance was not uniform, suggesting that the physical blurring process was not constant across the detector. This change in variance with image position implied that the stationarity of the noise statistics within the image was limited and that care would be needed when performing objective measurements. The NNPS measurements confirmed the results found for the MTF, with a strong reduction in NNPS as a function of spatial frequency. This reduction was far more severe in the data line direction. A somewhat tentative DQE estimate was made; in the gate line direction there was little change in DQE up to 2.5 mm(-1) but at the Nyquist frequency the DQE had fallen to approximately 35% of the original value. There was severe attenuation of DQE in the data line direction, the DQE falling to less than 0.01 above approximately 3.0 mm(-1). C-d results showed an increase in threshold contrast of approximately 25% for details less than 0.2 mm in diameter, while no reduction in c-d performance was found at the largest detail diameters (1.0 mm and above). Despite the detector fault, the c-d curve was found to pass the European protocol acceptable c-d curve.     

Physical characterization of a prototype selenium-based full field digital mammography detector

The purpose of this study was to measure experimentally the physical performance of a prototype mammographic imager based on a direct detection, flat-panel array design employing an amorphous selenium converter with 70 microm pixels. The system was characterized for two different anode types, a molybdenum target with molybdenum filtration (Mo/Mo) and a tungsten target with rhodium filtration (W/Rh), at two different energies, 28 and 35 kVp, with approximately 2 mm added aluminum filtration. To measure the resolution, the presampled modulation transfer function (MTF) was measured using an edge method. The normalized noise power spectrum (NNPS) was measured by two-dimensional Fourier analysis of uniformly exposed mammograms. The detective quantum efficiencies (DQEs) were computed from the MTFs, the NNPSs, and theoretical ideal signal to noise ratios. The MTF was found to be close to its ideal limit and reached 0.2 at 11.8 mm(-1) and 0.1 at 14.1 mm(-1) for images acquired at an RQA-M2 technique (Mo/Mo anode, 28 kVp, 2 mm Al). Using a tungsten technique (MW2; W/Rh anode, 28 kVp, 2 mm Al), the MTF went to 0.2 at 11.2 mm(-1) and to 0.1 at 13.3 mm(-1). The DQE reached a maximum value of 54% at 1.35 mm(-1) for the RQA-M2 technique at 1.6 microC/kg and achieved a peak value of 64% at 1.75 mm(-1) for the tungsten technique (MW2) at 1.9 microC/kg. Nevertheless, the DQE showed strong exposure and frequency dependencies. The results indicated that the detector offered high MTFs and DQEs, but structured noise effects may require improved calibration before clinical implementation.     

Imaging performance of an amorphous selenium digital mammography detector in a breast tomosynthesis system

In breast tomosynthesis a rapid sequence of N images is acquired when the x-ray tube sweeps through different angular views with respect to the breast. Since the total dose to the breast is kept the same as that in regular mammography, the exposure used for each image of tomosynthesis is 1/N. The low dose and high frame rate pose a tremendous challenge to the imaging performance of digital mammography detectors. The purpose of the present work is to investigate the detector performance in different operational modes designed for tomosynthesis acquisition, e.g., binning or full resolution readout, the range of view angles, and the number of views N. A prototype breast tomosynthesis system with a nominal angular range of +/-25 degrees was used in our investigation. The system was equipped with an amorphous selenium (a-Se) full field digital mammography detector with pixel size of 85 microm. The detector can be read out in full resolution or 2 x 1 binning (binning in the tube travel direction). The focal spot blur due to continuous tube travel was measured for different acquisition geometries, and it was found that pixel binning, instead of focal spot blur, dominates the detector modulation transfer function (MTF). The noise power spectrum (NPS) and detective quantum efficiency (DQE) of the detector were measured with the exposure range of 0.4-6 mR, which is relevant to the low dose used in tomosynthesis. It was found that DQE at 0.4 mR is only 20% less than that at highest exposure for both detector readout modes. The detector temporal performance was categorized as lag and ghosting, both of which were measured as a function of x-ray exposure. The first frame lags were 8% and 4%, respectively, for binning and full resolution mode. Ghosting is negligible and independent of the frame rate. The results showed that the detector performance is x-ray quantum noise limited at the low exposures used in each view of tomosynthesis, and the temporal performance at high frame rate (up to 2 frames per second) is adequate for tomosynthesis.     

Imaging performance of amorphous selenium based flat-panel detectors for digital mammography: characterization of a small area prototype detector

Our work is to investigate and understand the factors affecting the imaging performance of amorphous selenium (a-Se) flat-panel detectors for digital mammography. Both theoretical and experimental methods were developed to investigate the spatial frequency dependent detective quantum efficiency [DQE(f)] of a-Se flat-panel detectors for digital mammography. Since the K edge of a-Se is 12.66 keV and within the energy range of a mammographic spectrum, a theoretical model was developed based on cascaded linear system analysis with parallel processes to take into account the effect of K fluorescence on the modulation transfer function (MTF), noise power spectrum (NPS), and DQE(f) of the detector. This model was used to understand the performance of a small-area prototype detector with 85 microm pixel size. The presampling MTF, NPS, and DQE(f) of the prototype were measured, and compared to the theoretical calculation of the model. The calculation showed that K fluorescence accounted for a 15% reduction in the MTF at the Nyquist frequency (fNy) of the prototype detector, and the NPS at fNy was reduced to 89% of that at zero spatial frequency. The measurement of presampling MTF of the prototype detector revealed an additional source of blurring, which was attributed to charge trapping in the blocking layer at the interface between a-Se and the active matrix. This introduced a drop in both presampling MTF and NPS at high spatial frequency, and reduced aliasing in the NPS. As a result, the DQE(f) of the prototype detector at fNy approached 40% of that at zero spatial frequency. The measured and calculated DQE(f) using the linear system model have reasonable agreement, indicating that the factors controlling image quality in a-Se based mammographic detectors are fully understood, and the model can be used to further optimize detector imaging performance.     

A comparison of the performance of digital mammography systems

An objective analysis of image quality parameters was performed for six digital mammography systems. The presampled modulation transfer function (MTF), normalized noise power spectrum (NNPS), and detective quantum efficiency (DQE) for the systems were determined at different doses, for 28 kVp with a Mo/Mo or W/Al target/filter combination and 2 mm of additional aluminium filtration. The flat-panel units have higher MTF and DQE in the mid to high frequency range than standard CR systems. The highest DQE, over the whole dose range, is for the slit-scanning direct photon counting system. Dual-side read CR can overcome the inherent x-ray absorption and signal collection limitations of standard CR mammography, improving the low-frequency DQE by 40%, to the same level as full-field systems, but it does not improve the poor spatial resolution of phosphor.     

Full breast digital mammography with an amorphous silicon-based flat panel detector: physical characteristics of a clinical prototype

The physical characteristics of a clinical prototype amorphous silicon-based flat panel imager for full-breast digital mammography have been investigated. The imager employs a thin thallium doped CsI scintillator on an amorphous silicon matrix of detector elements with a pixel pitch of 100 microm. Objective criteria such as modulation transfer function (MTF), noise power spectrum, detective quantum efficiency (DQE), and noise equivalent quanta were employed for this evaluation. The presampling MTF was found to be 0.73, 0.42, and 0.28 at 2, 4, and 5 cycles/mm, respectively. The measured DQE of the current prototype utilizing a 28 kVp, Mo-Mo spectrum beam hardened with 4.5 cm Lucite is approximately 55% at close to zero spatial frequency at an exposure of 32.8 mR, and decreases to approximately 40% at a low exposure of 1.3 mR. Detector element nonuniformity and electronic gain variations were not significant after appropriate calibration and software corrections. The response of the imager was linear and did not exhibit signal saturation under tested exposure conditions.     

Validation of MTF measurement for digital mammography quality control

The modulation transfer function (MTF) describes the spatial resolution properties of imaging systems. In this work, the accuracy of our implementation of the edge method for calculating the presampled MTF was examined. Synthetic edge images with known MTF were used as gold standards for determining the robustness of the edge method. These images simulated realistic data from clinical digital mammography systems, and contained intrinsic system factors that could affect the MTF accuracy, such as noise, scatter, and flat-field nonuniformities. Our algorithm is not influenced by detector dose variations for MTF accuracy up to 1/2 the sampling frequency. We investigated several methods for noise reduction, including truncating the supersampled line spread function (LSF), windowing the LSF, applying a local exponential fit to the LSF, and applying a monotonic constraint to the supersampled edge spread function. Only the monotonic constraint did not introduce a systematic error; the other methods could result in MTF underestimation. Overall, our edge method consistently computed MTFs which were in good agreement with the true MTF. The edge method was then applied to images from a commercial storage-phosphor based digital mammography system. The calculated MTF was affected by the size (sides of 2.5, 5, or 10 cm) and the composition (lead or tungsten) of the edge device. However, the effects on the MTF were observed only with regard to the low frequency drop (LFD). Scatter nonuniformity was dependent on edge size, and could lead to slight underestimation of LFD. Nevertheless, this negative effect could be minimized by using an edge of 5 cm or larger. An edge composed of lead is susceptible to L-fluorescence, which causes overestimation of the LFD. The results of this work are intended to underline the need for clear guidelines if the MTF is to be given a more crucial role in acceptance tests and routine assessment of digital mammography systems: the MTF algorithm and edge object test tool need to be publicly validated.     

Quantitative evaluation of dual-energy digital mammography for calcification imaging

Dual-energy digital mammography (DEDM), where separate low- and high-energy images are acquired and synthesized to cancel the tissue structures, may improve the ability to detect and visualize microcalcifications. Under ideal imaging conditions, when the mammography image data are free of scatter and other biases, DEDM could be used to determine the thicknesses of the imaged calcifications. We present quantitative evaluation of a DEDM technique for calcification imaging. The phantoms used in the evaluation were constructed by placing aluminium strips of known thicknesses (to simulate calcifications) across breast-tissue-equivalent materials of different glandular-tissue compositions. The images were acquired under narrow-beam geometry and high exposures to suppress the detrimental effects of scatter and random noise. The measured aluminium thicknesses were found to be approximately linear with the true aluminium thicknesses and independent of the underlying glandular-tissue composition. However, the dual-energy images underestimated the true aluminium thickness due to the presence of scatter from adjacent regions. Regions in the DEDM image that contained no aluminium yielded very low aluminium thicknesses (<0.07 mm). The aluminium contrast-to-noise ratio in the dual-energy images increased with the aluminium thickness and decreased with the glandular-tissue composition. The changes to the aluminium contrast-to-noise ratio and the contrast of the tissue structures between the low-energy and DEDM images are also presented.     

X-ray scattering in full-field digital mammography

Effects of x-ray scattering on full-field digital mammography are analyzed with the scattering model of Seibert and Boone [Med. Phys. 15, 567-575 (1988)]. A new method is introduced for the estimation of model parameters from measurements. It is shown that with breasts thinner than a certain threshold, removing the anti-scatter grid leads to an improved contrast-to-noise ratio with a smaller patient dose. A fast approximate algorithm is presented for determining the scattered field in a gridless digital mammogram.     

Physical characteristics of five clinical systems for digital mammography

The purpose of this study was to evaluate and compare the physical characteristics of five clinical systems for digital mammography (GE Senographe 2000D, Lorad Selenia M-IV, Fischer Senoscan, Agfa DM 1000, and IMS Giotto) currently in clinical use. The basic performances of the mammography systems tested were assessed on the basis of response curve, modulation transfer function (MTF), noise power spectrum, noise equivalent quanta (NEQ), and detective quantum efficiency (DQE) in an experimental setting closely resembling the clinical one. As expected, all the full field digital mammography systems show a linear response curve over a dynamic range from 3.5 to 500 microGy (0.998相似文献   

Scatter rejection in multislit digital mammography

The scatter to primary ratio (SPR) was measured on a scanning multislit full-field digital mammography system for different thickness of breast equivalent material and different tube voltages. Scatter within the detector was measured separately and was found to be the major source of scatter in the assembly. Measured total SPRs below 6% are reported for breast range 3-7 cm. The performance of the multislit assembly is compared to other imaging geometries with different scatter rejection schemes by using the scatter detective quantum efficiency.     

Clinical aspects of Direct digital mammography

Since 1990, computed radiography (CR) has been used routinely in our symptomatic mammography service, imaging approximately 2,000 patients per year. Careful selection of the appropriate image processing parameters results in high-quality images of diagnostic value equivalent to conventional film-screen mammograms. Problems encountered included dust artifacts, black films, and white films, but these constituted only a very small proportion of images obtained and the remedies are discussed. Hard-copy reporting is used and improved image presentation is considered. New processing algorithms and the development of soft-copy reporting at dedicated workstations are expected in the near future.     

A liquid ionisation detector for digital radiography of therapeutic megavoltage photon beams

Experiments with an ionisation detector were performed in order to determine whether it was possible to obtain high energy photon beam images for radiotherapy treatment verification. A small prototype detector with a field of view of 78 mm X 78 mm and constructed from printed circuit boards was used. The imaging area was a matrix ionisation chamber, filled with air or liquid (2,2,4-trimethylpentane). A minicomputer was used to control the data acquisition electronics and to reconstruct and restore the images. The images were displayed on a viewing console for computed tomography images. The liquid filled detector with a front-rear board separation of 1.0 mm gave the best results. The spatial resolution was about 3.8 mm with a density resolution of 0.5% for a data acquisition time of 120 s. Comparison of the liquid detector images with corresponding metal screen-film detector images showed that the image qualities were the same. An important advantage of the ionisation detector image is that grey scale modification, sharpening and smoothing by digital processing can easily be performed.     

Dual-energy digital mammography for calcification imaging: noise reduction techniques

We have previously developed a dual-energy digital mammography (DEDM) technique for calcification imaging under full-field imaging conditions using a commercially available flat-panel based digital mammography system. Although dual-energy (DE) imaging could suppress the obscuration of calcifications by tissue-structure background, it also increases the intrinsic noise in the DE images. Here we report on the effects of three different noise reduction techniques on DE calcification images: a simple smoothing (boxcar) filter applied to the DE image, a median filter applied to the HE image prior to the computation of the DE image and an adaptation of the Kalender's correlated-noise reduction (KNR) technique for DEDM. We compared the different noise reduction techniques by evaluating their effects on DE calcification images of a 5 cm thick breast-tissue-equivalent slab with continuously varying glandular-tissue ratio superimposed with calcium carbonate crystals of various sizes that simulate calcifications. Evaluations of different noise reducing techniques were performed by comparison of the root-mean-square signal in background regions (no calcifications present) of the DE calcification images and the contrast-to-noise ratios (CNR) of the calcifications in the DE calcification images. Amongst the different noise reduction techniques evaluated in this study, the KNR method was found to be most effective in reducing the image noise and increasing the calcification visibility (or CNR), closely followed by the HE median filter technique. Although the simple smoothing (boxcar) filter reduced the noise, it did not improve calcification visibility. The visible calcification threshold size with DEDM over smoothly varying background at screening mammography doses, assuming a CNR threshold of 4, was estimated to be around 250 microm with both the HE median filter and the KNR techniques. The quality of DE images with noise reduction techniques based on phantom studies were verified with DE images of an animal-tissue phantom that consisted of calcifications superimposed over more realistic tissue structures.     

Performance comparison of full-field digital mammography to screen-film mammography in clinical practice

Results of acceptance testing 18 full-field digital mammography systems for clinical use and of conducting annual physics surveys of 38 screen-film mammography systems were compared in terms of exposure times, mean glandular breast doses, and image quality. These evaluations were made using the same test tools on all systems, with emphasis on assessing automatic exposure control performance and image quality on both digital and screen-film systems using clinical techniques. Survey results indicated that digital mammography systems performed similarly to screen-film systems in terms of exposure times and mean glandular doses for thin to intermediate breasts, but that digital mammography systems selected shorter exposure times and lower mean glandular doses for thicker breasts. For all breast thicknesses, digital mammography systems yielded mean contrast-detail scores higher than those for screen-film systems. For all breast thicknesses, the 18 digital mammography systems demonstrated less variance in terms of exposure times, mean glandular doses, and contrast-detail scores than did the 38 screen-film systems tested. These results indicate that the clinical use of digital mammography may generally improve image quality for equal or lower breast doses, while providing tighter control on exposures and image quality than screen-film mammography.